DoctorLicensePro

Dr. Mariano De La Mata, M.D.

Emergency Medicine

NPI: 1396841623 Florida
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

20 years

Data Freshness6/10

Updated 195 days ago

License Status

FloridaActive
License #

99936

Issued

Sep 6, 2007

Expires

Jan 31, 2028

Practice Information

Address
13506 SUMMERPORT VILLAGE PKWY, #341
WINDERMERE, FL 34786
Phone
(865) 406-9069
In Practice Since
September 15, 2006
Data Last Updated
December 18, 2025

NPI Details

NPI Number
1396841623
Status
Active
Taxonomy Code
207P00000X
Data sourced from CMS NPPES public database. Last verified: December 18, 2025. Report an error